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对我县1990~1999年55例孕产妇死亡原因及其变化趋势进行分析表明,10年间平均死亡率为99.65/10万。前5年在100/10万间徘徊,平均为106.24/10,后5年呈逐年下降趋势,平均死亡率为85.68/10万,到1999年降为56.35/10万,基本达到省下达控制标准的60/10万以内。构成孕产妇死亡的前 4位死因依次为:产后出血、妊高征、产褥感染、羊水栓塞,占全部死亡的83.64%,其中产科出血占63.64%,且死因无明显变化。可避免死亡的49例,占89.09%。对影响孕产妇死亡的社会经济、卫生保健等相关因素进行分析。
The analysis of 55 maternal death causes and their changing trends in our county from 1990 to 1999 showed that the average death rate in 10 years was 99.65 / 100,000. In the first 5 years, it was hovering at 100 / 100,000, with an average of 106.24 / 10. After 5 years of decline, the average death rate was 85.68 / 100000 and dropped to 56.35 / 100000 in 1999, basically meeting the provincial control standards Less than 60/10 million. The top four causes of maternal death were as follows: postpartum hemorrhage, pregnancy induced hypertension, puerperal infection, amniotic fluid embolism, accounting for 83.64% of all deaths, of which 63.64% were obstetric hemorrhage without any significant change in the cause of death. 49 cases can avoid death, accounting for 89.09%. The factors affecting the maternal mortality such as social economy, health care and so on are analyzed.